Ulcer patient, other. Anyone with a history of ulcer disease;or from an endemic region for stomach cancer , e.g. Japan , chile; positive family history of ulcer or stomach cancer, ;symptoms consistent with possible ulcer disease. Controversy over testing people before chronic Aspirin use-both can cause ulcers, the 2 together, even more so. Anyone with symptoms enough for them to get an upper endoscopy.

Gastritis. Often we treat h pylori negative gastritis with bland diet, avoidance of alcohol, caffeine and nicotine and a course of medications like prilosec or zantac. If symptoms persist despite adherence to this treatment regimen we try a different ppi like nexium or increase the dosage of prilosec. The next step is a follow-up gastroscopy to document the diagnosis if symptoms don't improve.
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Gastritis. Often we treat h pylori negative gastritis with bland diet, avoidance of alcohol, caffeine and nicotine and a course of medications like prilosec or zantac. If symptoms persist despite adherence to this treatment regimen we try a different ppi like nexium or increase the dosage of prilosec. The next step is a follow-up gastroscopy to document the diagnosis if symptoms don't improve.
Read more...